Provider Demographics
NPI:1407269434
Name:RAINBOW SENIOR LIVING
Entity Type:Organization
Organization Name:RAINBOW SENIOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOOLCRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:AA, BS
Authorized Official - Phone:406-761-6661
Mailing Address - Street 1:20 3RD ST N
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-3188
Mailing Address - Country:US
Mailing Address - Phone:406-761-6661
Mailing Address - Fax:406-761-6809
Practice Address - Street 1:20 3RD ST N
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3188
Practice Address - Country:US
Practice Address - Phone:406-761-6661
Practice Address - Fax:406-761-6809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT13462310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1972620755Medicaid